Can a Sector-Wide Approach Underpin and Advance Universal Health Coverage?

다국어 초록 (Multilingual Abstract)

Fragmented management approach makes the provision of comprehensive health care for achievinguniversal health coverage very unlikely. This article aims to explore the potential contributionof a systemic approach—the sector-wide approach (SWAp)—to achieving universal health coverage(UHC), using the Mongolian context as an example. The paper describes UHC and factors thathinder its achievement in developing countries, based on the Mongolian experience. The analysisfocuses on the root factors hindering the achievement of UHC and examines how these affect systemand local capacity critical for achieving UHC. Two principally different approaches, a sectorwide(holistic) approach and a standalone project (fragmented) approach are compared in terms oftheir contribution to the main indicators of achieving UHC. The current stage of the Mongolianhealth SWAp is identified and early rewards of a SWAp are presented. The paper proposes aSWAp as a potential approach to tackle these root factors to help in achieving UHC, because it isa promising instrument that promotes a systems-strengthening and capacity-building approachto enable effective coordination of standalone projects in alignment with the national priorities.

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